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General NPI Number Information
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NPI Number | 1629243340
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Entity Type | Organization
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Legal Business Name | ACHIEVE BALANCE CHIROPRACTIC LLC
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Dates
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Enumeration Date | 04/23/2008
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Last Update Date | 09/19/2022
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Provider Practice Location Address
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Address Line | 2700 FORUM BLVD
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City | COLUMBIA
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State | MO
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Zip | 65203-5433
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Country | US
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Telephone | 573-442-5520
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Fax | 573-442-5524
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Provider Business Mailing Address
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Address Line | 2700 FORUM BLVD
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City | COLUMBIA
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State | MO
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Zip | 65203-5433
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Country | US
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Telephone | 573-442-5520
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Fax | 573-442-5524
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Authorized Official
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Title or Position | OWNER
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Name | DR. ARMINTA FRANCES PHELPS
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Credential | D.C.
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Telephone | 314-570-7868
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2008005854
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License Number State | MO
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